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Depression Research and Treatment
Volume 2013, Article ID 341782, 6 pages
Clinical Study

Prevalence and Impact of Anxiety and Depression on Type 2 Diabetes in Tunisian Patients over Sixty Years Old

1Department of Psychiatry A, University Medical Center Hédi Chaker, 3000 Sfax, Tunisia
2Department of Functional Exploration and Metabolic Diseases, University Medical Center Habib Bourguiba, 3000 Sfax, Tunisia
3Department of Psychiatry, University Medical Center Fattouma Bourguiba, 5000 Monastir, Tunisia

Received 14 February 2013; Revised 27 May 2013; Accepted 30 May 2013

Academic Editor: H. Grunze

Copyright © 2013 Jawaher Masmoudi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objectives. To estimate the prevalence of anxiety and depression using the Hospital Anxiety and Depression Scale (HADS) in a population aged over sixty years with type 2 diabetes and to study the impact of anxiety and depression on glycemic balance and disease outcome. Results. The prevalence of anxiety and depression in the 62 subjects included in the study was, respectively, 40.3% and 22.6%. We found a relationship between these disorders and complicated diabetes. The subjects having an imperfectly balanced diabetes had a higher average anxiety score than those having a good glycemic control ( versus ; ). No relationship was found between diabetes balance and depression. Conclusion. Association between anxiety and depressive disorders and diabetes is frequent and worsens patients’ outcome, in terms of diabetes imbalance as well as in terms of diabetic complications. Our study shows that there is need for physicians to detect, confirm, and treat anxiety and depressive disorders in elderly diabetic patients.